I am male 20 yr old student , currently suffering from hyperthyroidism
2 months back after tsh test my thyroid came out to be 9.0 and doctor prescribed me thyronom 100
After taking the medicine consistently with max 1-2 day gap for a month currently my thyroid results have decreased to 5.00 present in attachment
Should the dosage be same or reduced?
Thank you
Answers (26)
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TSH Monitoring and Dose Adjustment (Per Harrison’s):
✅ Normal TSH Range:
0.4 – 4.0 mIU/L (some labs accept up to 5.0)
🟠 TSH 5.0:
Mildly elevated, but improved from baseline 9.0
Suggests partial correction, dose is likely effective
But may still need slight adjustment if target is full normalization
🟢 Recommended Plan:
Continue current dose (100 mcg) for 6–8 more weeks without missing any days
Repeat TSH at 8 weeks total from current dose stability
If TSH drops into 1–3 range, maintain or reduce to 88 mcg
If still >5, increase slightly only under supervision (to 112.5 mcg)
❗Important Notes:
Do not change the dose on your own
Take Thyronorm on empty stomach, same time daily
Avoid iron/calcium supplements within 4 hours of dosing
📘 Reference:
Harrison’s Manual of Medicine, Endocrinology section:
TSH should be monitored 6–8 weeks after dose change; adjust dose in 12.5–25 mcg steps. Goal TSH: mid-normal range for age.
MARK HELPFUL 👍
Next Steps
Would you like a TSH tracking table or dose adjustment calculator based on future labs?
Hii
First thing is that u r not suffering from hyper
But it's hypothyroidism
It's a small gland in the middle of the neck
That controls mostly all functions of our body by producing hormones
Good thing is that with proper care n abstinence meds can be stop
In order to get proper guidance n treatment connect with me over here
Happy to help u
Hi .. tsh -9 is not always need to take medicine, there is few exceptions. Do you have any complaints. If No then please stop medicine . Repeat your TFT at standard lab in early morning with fasting conditions. If it TSH still high go for anti - tpo … if it come positive then only go for thyroxine. Otherwise no need to take medicine. Just keep on monitoring your TSH 6 monthly as your tsh is on borderline. If you have symptoms related with hypothyroid then go for thyroxine. Although your doctor give high dose with 1 st contact which is not good . Please visit or consult MD physician or Endo person .
It rare for male to develop Hypothyroidism, my questions are what all were your complaints, need to evaluate your antibodies and need to rule out other autoimmune conditions related to Hypothyroidism for the better outcomes
Hi,
Ideally,no
Don't reduce the dosage because TSH is at the normal range. It's normal with the supplementation.
Having said that, it's unusual for a young male to develop hypothyroidism. We need to figure out why that happened and see if it's something that can be reversed.
Do consult
There is a person known as "Mr Doctor" who started your treatment. Please let him use his wisdom to decide whether your dose of Thyronorm should be adjusted or not.
Don't take opinions ni from all the Doctors in India.
First of all from your reports , it appears you donot have hyperthyroid means excess of hormone. You have hypothyroidism means less of thyroid hormone..
Please visit an endocrinologist to have clearity on disease , future course, dose adjustment and report interpretation..
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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